Journal ArticleDOI
Pulmonary atelectasis: a pathogenic perioperative entity.
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TLDR
The authors discuss the effects and implications of atelectasis in the perioperative period and illustrate how preventive measures may impact outcome and the impact of atElectasis and its prevention in acute lung injury.Abstract:
Atelectasis occurs in the dependent parts of the lungs of most patients who are anesthetized. Development of atelectasis is associated with decreased lung compliance, impairment of oxygenation, increased pulmonary vascular resistance, and development of lung injury. The adverse effects of atelectasis persist into the postoperative period and can impact patient recovery. This review article focuses on the causes, nature, and diagnosis of atelectasis. The authors discuss the effects and implications of atelectasis in the perioperative period and illustrate how preventive measures may impact outcome. In addition, they examine the impact of atelectasis and its prevention in acute lung injury.read more
Citations
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Pressure Dynamic Characteristics of Pressure Controlled Ventilation System of a Lung Simulator
TL;DR: The influences of seven key parameters of mechanical ventilation system on the pressure dynamics of human lung, considered as a pure pneumatic system, and its mathematical model was set up are obtained.
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The physiotherapy management of patients undergoing abdominal surgery
Julie Reeve,Ianthe Boden +1 more
TL;DR: A narrative review aims to examine the evidence investigating the effectiveness of physiotherapy interventions and apply this to contemporary surgical practices and recommend recommendations for practice and research.
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Impact of mechanical ventilation and fluid load on pulmonary glycosaminoglycans.
Andrea Moriondo,Cristiana Marcozzi,F. Bianchin,Marcella Reguzzoni,Paolo Severgnini,Marina Protasoni,Mario Raspanti,Alberto Passi,Paolo Pelosi,Daniela Negrini +9 more
TL;DR: It is suggested that PEEP was protective at low but not at high V(T) when alveolar structures experience exceedingly high stresses, when combined to mechanical ventilation, fluid load might exacerbate edema development and lung injury.
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Risk factors for prolonged duration of mechanical ventilation in acute traumatic tetraplegic patients—a retrospective cohort study ☆ ☆☆
Antoine Roquilly,Philippe Seguin,Olivier Mimoz,Fanny Feuillet,Elise Rosenczweig,Franck Chevalier,Olivier Loutrel,Yannick Mallédant,Véronique Sébille,Karim Asehnoune +9 more
TL;DR: Prolonged MV was independently associated with poor neurologic status and prevention of pneumonia and atelectasis is critical for the reduction of MV in tetraplegic patients.
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Postoperative respiratory problems in morbidly obese patients.
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References
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Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome.
Roy G. Brower,Michael A. Matthay,Alan H. Morris,David A. Schoenfeld,B. Taylor Thompson,Arthur P. Wheeler +5 more
TL;DR: In patients with acute lung injury and the acute respiratory distress syndrome, mechanical ventilation with a lower tidal volume than is traditionally used results in decreased mortality and increases the number of days without ventilator use.
Journal ArticleDOI
The acute respiratory distress syndrome
TL;DR: An overview of the definitions, clinical features, and epidemiology of the acute respiratory distress syndrome is provided and advances in the areas of pathogenesis, resolution, and treatment are discussed.
Journal ArticleDOI
Effect of a Protective-Ventilation Strategy on Mortality in the Acute Respiratory Distress Syndrome
Marcelo B. P. Amato,Carmen Silvia Valente Barbas,D Medeiros,R B Magaldi,Guilherme Schettino,Geraldo Lorenzi-Filho,Ronaldo Adib Kairalla,Daniel Deheinzelin,Carlos Munoz,Roselaine Pinheiro de Oliveira,Teresa Yae Takagaki,Carlos Roberto Ribeiro de Carvalho +11 more
TL;DR: As compared with conventional ventilation, the protective strategy was associated with improved survival at 28 days, a higher rate of weaning from mechanical ventilation, and a lower rate of barotrauma in patients with the acute respiratory distress syndrome.
Journal ArticleDOI
Ventilator-induced lung injury: lessons from experimental studies.
Didier Dreyfuss,Georges Saumon +1 more
TL;DR: This paper presents experimental evidence for Increased Vascular Transmural Pressure Evidence for Alterations in Alveolar–Capillary Permeability Contributions of the Static and Dynamic Lung Volume Components to Ventilator-induced Edema High-volume Lung Edema Low Lung Volume Injury.
Journal ArticleDOI
Effect of mechanical ventilation on inflammatory mediators in patients with acute respiratory distress syndrome: a randomized controlled trial.
V. Marco Ranieri,Peter M. Suter,Cosimo Tortorella,Renato De Tullio,Jean-Michel Dayer,A. Brienza,Francesco Bruno,Arthur S. Slutsky +7 more
TL;DR: Mechanical ventilation can induce a cytokine response that may be attenuated by a strategy to minimize overdistention and recruitment/derecruitment of the lung, and these physiological improvements are associated with improvements in clinical end points.